{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T15:10:36Z","timestamp":1788793836703,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005668","name":"Foundation for Research Support of the Federal District","doi-asserted-by":"publisher","award":["00193\u201000002152\/2023\u201095"],"award-info":[{"award-number":["00193\u201000002152\/2023\u201095"]}],"id":[{"id":"10.13039\/501100005668","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction\/Aims<\/jats:title>\n                    <jats:p>Critical illness polyneuropathy and\/or myopathy (CIP\/CIM) is a major cause of weakness in the intensive care unit (ICU). The availability of conventional electrodiagnostic testing may be limited. Alternative electrophysiologic methods, including the strength\u2010duration test (SDT) and the stimulus electrodiagnosis test (SET), have been proposed as bedside screening adjuncts. This study aimed to evaluate the SDT's diagnostic metrics for CIP\/CIM screening and to compare with the SET's performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, cross\u2010sectional study included adult, mechanically ventilated ICU patients. Single assessment per patient comprised the peroneal simplified electrophysiological test (PENT), SDT, and SET. Using PENT as the reference test, we calculated the accuracy, sensitivity, specificity, predictive values, and likelihood ratios of SDT. Receiver operating characteristic curves were constructed to assess the discriminative performance and optimal cutoff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty participants were enrolled, yielding 101 assessments, including bilateral evaluations when feasible. The SDT demonstrated an area under the curve (AUC) of 0.8 (95% CI: 0.7\u20130.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with an optimal cutoff of 600 mC. At this cutoff, SDT showed a sensitivity of 73% (95% CI: 61\u201382), specificity of 68% (95% CI: 53\u201381), accuracy of 71% (95% CI: 62\u201379), and positive likelihood ratio of 2.3 (95% CI: 1.41\u20133.78) for screening probable CIP\/CIM. The SET yielded an AUC of 0.7 (95% CI: 0.6\u20130.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The SDT showed potential as a bedside screening adjunct for CIP\/CIM in the ICU setting. Further multicenter studies are required to validate these findings and to define the role of SDT in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mus.70368","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T04:39:02Z","timestamp":1785472742000},"page":"1212-1219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Performance of the Strength\u2010Duration Test for Bedside Screening of Critical Illness Polyneuropathy and\/or Myopathy: A Prospective, Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8239-6496","authenticated-orcid":false,"given":"Jos\u00e9 Roberto de Deus","family":"Macedo","sequence":"first","affiliation":[{"name":"Health Sciences and Technologies PhD Program, Faculdade de Ci\u00eancias e Tecnologias Em Sa\u00fade, Campus UnB Ceil\u00e2ndia Universidade de Bras\u00edlia  Bras\u00edlia Brazil"},{"name":"Intensive Care Division, Hospital de Base do Distrito Federal Instituto de Gest\u00e3o Estrat\u00e9gica de Sa\u00fade do Distrito Federal  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9858-9009","authenticated-orcid":false,"given":"Emerson","family":"Fachin\u2010Martins","sequence":"additional","affiliation":[{"name":"Health Sciences and Technologies PhD Program, Faculdade de Ci\u00eancias e Tecnologias Em Sa\u00fade, Campus UnB Ceil\u00e2ndia Universidade de Bras\u00edlia  Bras\u00edlia Brazil"},{"name":"BEM\u2010TE\u2010VI Tech Platform, Research and Tech Park Universidade de Bras\u00edlia  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilia Mendes","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Physical Therapy Division, Hospital de Base do Distrito Federal Instituto de Gest\u00e3o Estrat\u00e9gica de Sa\u00fade do Distrito Federal  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-6735","authenticated-orcid":false,"given":"Marta Rodrigues","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Neurophysiology Division, Hospital de Base do Distrito Federal Instituto de Gest\u00e3o Estrat\u00e9gica de Sa\u00fade do Distrito Federal  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2978-0269","authenticated-orcid":false,"given":"Rubens Nelson Morato","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Neurophysiology Division, Hospital de Base do Distrito Federal Instituto de Gest\u00e3o Estrat\u00e9gica de Sa\u00fade do Distrito Federal  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9153-0848","authenticated-orcid":false,"given":"Paulo Eug\u00eanio","family":"Silva","sequence":"additional","affiliation":[{"name":"Physical Rehabilitation Division, Hospital de Base do Distrito Federal Instituto de Gest\u00e3o Estrat\u00e9gica de Sa\u00fade do Distrito Federal  Bras\u00edlia Brazil"},{"name":"Faculty of Medicine, Physical Rehabilitation Division University of S\u00e3o Paulo  S\u00e3o Paulo 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